Dry Needling

Dry needling is a specialized technique that focuses on targeting trigger points in your muscular system. By using hollow-core hypodermic needles trigger points are targeted to relieve muscle pain. This is used as a common therapeutic method for people with myofascial pain syndrome and other muscle-related discomfort. Dry needling stimulates the muscles to relieve tension at the root.

Like acupuncture, dry needling can be used to target points with purpose and deliberate placement. However, dry needling targets muscles based on physical therapy and chiropractic principles of the muscular system. This educational targeted needling is the key distinction between dry needling and acupuncture. Dry needling is focused on the connection between trigger points and techniques that require a degree of training, certification, and continued education. At ESP, we believe in practicing chiropractic and physical therapy techniques that have a solid physiological and orthopedic basis.

cupping therapy

Cupping therapy is a specialized form of alternative treatment where vacuum cups are placed on areas of the skin. These cups create suction and release tension in these areas. The providers at ESP use handheld or electric vacuum pumps to create a strong pull. The therapy is performed to promote blood flow and enhance relaxation. It can also be used to help reduce pain and inflammation. Vacuum cupping may seem like an emerging trend, but it’s roots trace back to ancient Egyptian, Chinese, and Middle Eastern practices.

Over the past several years cupping therapy has become more accepted in the health field. As research has progressed, there is more support for this non-traditional therapy. Dr. St. Pierre has used cupping in combination with Graston Technique® and dry needling throughout his career. He has used these practices during his time as an Olympic trainer to promote accelerated healing. Instead of waiting to heal, these practices enhance the healing process and promote change.

The practice of cupping works by creating a vacuum that suctions your skin. This suction causes the skin to rise and swell. This rising and swelling stimulates your blood vessels, releasing tension. Once the cups are removed you may experience elevated relaxation, comfort, and mobility. This practice requires undivided focus, targeted training, and a comprehensive understanding of the body. The ESP team is professionally trained in cupping therapy and regularly perform this treatment with delicacy and care.

Graston Technique®

Graston Technique® is a patented deep tissue treatment performed with specialty instruments. With these instruments tense tissue can be detected and treated with deep pressure and tactile focus. The use of Graston Technique® enables our physical therapy and chiropractic team to treat areas with unrivaled precision.

The technique uses flat stainless-steel instruments to scrape the outer layers of skin. This scraping stimulates blood flow and releases tension in muscle knots. Practitioners who wish to practice this technique must be certified. Dr. St. Pierre is a certified Graston Technique® professional and has trained others in the technique.


ART is a state-of-the art soft tissue movement-based technique that treats problems with muscles, tendons, ligaments, fascia and nerves. It focuses on relieving tissue tension by removing adhesions. These adhesions often develop because of overuse or repetitive use. Often overuse injuries manifest as weakness, numbness, burning, or aching. Our providers use manual therapy to pin the affected area. While the area is pinned the patient is instructed to move so that the area is at a lengthened position. This provides a sliding motion that helps restore motion, release nerves, and improves function.



BFR has many uses in chiropractic and physical therapy. First, it allows for faster recovery. Studies have shown that restricting the blood flow to an area and then doing low intensity exercise stimulates growth hormones. These hormones allow the body to recovery at a quicker rate. Second, it allows for higher healing potentials. Since the body can recover quicker, you will be able to move forward in your rehabilitation and exercises more efficiently. Third, it limits the loss of strength from injury. This means that you start from a much better place than you would without BFR.

The technique has been shown to stimulate the brain and promote healing even when you’re unable to tolerate heavy training. This is great for anyone preparing for or who recently had surgery. It is also a wonderful tool for injured athletes because they can keep much of their strength while doing rehab. It has been proven to help with acute muscle/tendon injuries, chronic tendinitis, and ligament/arthritis injuries. The therapy is also safe for all ages. Let us help boost your injury rehab or help an old injury turn the corner.


Keeping active is important for maintaining a healthy lifestyle, however all athletes deal with a certain amount of post training muscle microtrauma and exercise-induced inflammation.  Recovery from training associated trauma is a crucial  component to maintaining a healthy lifestyle. Athletes who do not adequately recover from training often end up with exercise-induced injuries commonly seen as muscle strains, swelling, and movement dysfunction. One form of post training recovery treatment that has been found to be especially effective is dynamic compression. Dynamic compression has be shown to  help accelerate recovery, reduce edema, promote flow of lymph, and improve blood flow. The NormaTec Recovery system uses dynamic compression to mimic the body’s natural muscle pump to remove fluid and metabolites out of the extremities after a workout.

B-12 Injections

The providers at ESP recommend B-12 injections for people who are susceptible to B-12 deficiencies. This includes smokers, diabetics, aging populations, people with gastrointestinal disorders, and vegetarians/vegans. The benefits include improved red blood cell formation, bone health, mood, brain health, and energy.

Stem Cell Injections

The innovative minds at ESP believe in harnessing the power of medical advancements and technologies to reduce pain and improve quality of life, and our stem cell therapy is an important part of that. This form of regenerative medicine is focused on generating new, healthy cells that repair and/or replace older, damaged cells, and in turn, create fresh tissue that reduces pain and heals injuries. Stem cell therapy is an emerging treatment of the regenerative medicine world, with revolutionary potential for people with persistent pain, discomfort, and immobility.

Platelet Rich Plasma (PRP)

Platelet rich plasma, or PRP, is a form of regenerative medicine therapy that is focused on separating, identifying, and reintroducing platelets into the blood to promote healing and recovery. Similar to stem cell therapy, platelet rich plasma is focused on integrating healthy elements into the body to repair damaged tissue and relieve pain. But unlike stem cell therapy, PRP uses your own blood and platelets to promote healing, creating a circular process of regeneration.